Measurement for improvement Mike Davidge

2 % medicines reconciled in a Medical Admissions Unit Form piloted Form printed Letter from CDs Pharmacy included

3 7 Steps to measurement 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

4 Groupwork: Measure checklist  Why important?  Who owns?  Definitions?  Goals?  Complete the form for one measure that you are using/ are planning to use

5 Measurement as a process  Collect  Analyse  Review 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

6 Collect Decisions, decisions  What - All patients or a sample?  Who – what role?  How – hospital system or audit?  When – Real time or retrospective? 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

7 Groupwork: Where is data collected?  For the measure you have just defined, complete the data collection section of the checklist  Think about both official and unofficial sources  Note any issues you will need to resolve outside the workshop –People you need to contact –Data you need to check is being collected  You have 5 minutes to get started on this exercise

8 Analyse “The type of presentation you use has a crucial effect on how you react to data” 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

9 Complaints Here’s some data, what would you do with it?

10 How might we report these numbers? And what conclusions might we draw? Yearly total as numbers Quarterly total as numbers Quarterly total as bar chart Run chart?

11 We have 2 quarterly data points - is this an improvement? Higher is better

12 Are we assuming something like this?

13 But it could be like this...

14 Or this...

15 Or this!

16 As a run chart

17 You will use these two charts 99% of the time Run chart to answer the Question: How are we doing? Ranked Bar chart to answer the question: Where is the problem?

18 Review measures 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data Where will the measures be reviewed? When (how frequently) will we review them? Question 1 Question 2 It is a waste of time collecting and analysing your data if you don't take action on the results

19 Review measures Have a look at the Analyse and Review sections of the checklist 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

20 7 Steps to measurement  You may not get it right first time! You may need several attempts to get it right for you 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

21 Next steps – the project plan  Measures –Do you have an agreed set of measures? If not, how and when will you get them agreed?  Definitions –Who will complete measures checklists for all remaining measures and by when?  Review meetings –Have you agreed when you will review your measures? Set a date for the first meeting  Test your process –When are you going to follow the 7 step process for your first measures? 1 Decide aim 2 Choose measures 3 Define measures 6 Review measures 5 Analyse & present 7 Repeat steps Collect data

Thank you and here’s to effective measurement!